Doctor profile · Federal record
Dr. Viengkeo Chanthaloth- Phasouk, LCSW
Clinical Social Worker · Counselor · Rockford, IL
- NPI 1366920811
- Accepts Medicare
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2704 N Main St
Rockford, IL 611033112
(815) 391-1000
fax (815) 815-7204 - Mailing address
-
1021 N Mulford RD
Rockford, IL 611073877
Credentials & registration
- NPI registered
- August 2018 — 8 yrs on file
- Profile last updated
- August 13, 2020
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 1041C0700X — NUCC code
- State license (1)
- Illinois #149.022418
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366920811. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
191
Distinct HCPCS
2
Medicare allowed
$20,670
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90837 |
Psychotherapy, 1 hour | 180 | 17 | $107 | |
90791 |
Psychiatric diagnostic evaluation | 11 | 11 | $127 |
In context: peer comparison
Among 8 peers in Rockford Clinical Social Worker, average services per provider: 140. This provider delivers 1.4× the peer median.Frequently asked questions
What is Dr. Viengkeo Chanthaloth- Phasouk's medical specialty?
Dr. Viengkeo Chanthaloth- Phasouk practices Clinical Social Worker in Rockford, IL.
Where does Dr. Viengkeo Chanthaloth- Phasouk practice?
Dr. Viengkeo Chanthaloth- Phasouk practices at 2704 N Main St, Rockford, IL 611033112. Office phone: 8153911000.
What is Dr. Viengkeo Chanthaloth- Phasouk's NPI?
Dr. Viengkeo Chanthaloth- Phasouk's National Provider Identifier (NPI) is 1366920811, issued by NPPES.
Does Dr. Viengkeo Chanthaloth- Phasouk accept Medicare assignment?
Yes. Dr. Viengkeo Chanthaloth- Phasouk accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Viengkeo Chanthaloth- Phasouk commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.